Anatomy Flashcards
Major skull sutures
Coronal, Sagittal, Lambdoid
Junctions
Bregma, Lambda, Pterion, Asterion
Fontanelles are
membranous gaps that exist between skull bondes in the newborn
Metopic suture
between the 2 frontal bones
Le fort fracture
fracture of the maxilla
Anterior fossa is occupied by
frontal lobe
Middle fossa is occupied by
temporal lobe
Posterior fossa is occupied by
cerebellum and brainstem
Basilar skull fracture
fracture most commonly of the temporal bones from blunt force trauma
Symptoms of basilar skull fracture
bruising behind ears or around eyes, blood behind ear drum, CSF leak from nose or ear
bones of the anterior cranial fossa
frontal, ethmoid, sphenoid
key features of the anterior cranial fossa
cribriform plate and foramina, crista galli, frontal crest
bones of the middle cranial fossa
sphenoid, temporal
key features of the middle cranial fossa
optic canal, hypophyseal fossa, superior orbital fissure, foramen rotundum, foramen ovale, foramen spinosum, carotid canal
posterior cranial fossa bones
temporal and occipital
key features of the posterior cranial fossa
foramen magnum, grooves for sigmoid and transverse dural sinuses, internal acoustic meatus, jugular foramen, hypoglossal canal, internal occipital protuberance
CN 1
olfactory
CN 1 foramen
cribriform plate
CN 2
optic
CN 2 foramen
optic canal
CN 3
oculomotor
CN 3 foramen
superior orbital fissure
CN 4
trochlear
CN 4 foramen
superior orbital fissure
CN 5
trigeminal
CN 5 foramen
V1-superior orbital fissure
V2- foramen rotundum
V3- foramen ovale
CN 6
abducent
CN 6 foramen
superior orbital fissure
CN 7
facial
CN 7 forman
stylomastoid foramen
CN 8
vestibulocochlear
CN 8 foramen
internal acoustic meatus
CN 9
glossopharyngeal
CN 9 foramen
jugular foramen
CN 10
vagus
CN 10 foramen
jugular foramen
CN 11
spinal accessory
CN 11 foramen
jugular foramen
CN 12
hypoglossal
CN 12 foramen
hypoglossal canal
Carotid canal contains
internal carotid artery
foramen spinosum contains
middle meningeal artery
Optic canal contains
optic nerve and ophthalmic artery
Superior orbital fissure contains
CN 3, 4, 5, 6 and superior ophthalmic vein
2 layers of the dura
periosteal (outer) and meningeal (inner)
dural partitions
falx cerebri, tentorium cerebelli, falx cerebelli, diaphragma sellae
blood supply of dura
ethmoidal arteries, maxillary (middle meningeal) artery, ascending pharyngeal artery, occipital artery, vertebral artery
Meningeal arteries course between
the bone and the periosteal dura
pterion fracture may cause bleeding from
middle meningeal artery leading to extradural hemorrhage
surgical approach to middle cranial fossa
pterion craniotomy
meningeal spaces
extradural, subdural, subarachnoid
Dural venous sinuses lead to
internal jugular veins
dural venous sinuses
superior sagittal sinus, inferior sagittal sinus, straight sinus, transverse sinus, sigmoid sinus, occipital sinus, confluence of sinuses, cavernous sinuses, superior petrosal sinus, inferior petrosal sinus
important structures pass through the cavernous sinus
internal carotid artery, CN 3, 4, 5, 6
cavernous sinus
paired dural sinuses located on either side of the sella turcica (sphenoid)
platysma acts to
tense the skin of the neck and depress the mandible
platysma nerve
CN7
SCM acts to
laterally flex the head and rotate the face to opposite side , extend head and draws head forward, accessory muscle of respirations
SCM nerve
CN 11
Trapezius acts to
rotate, elevate, retract, depress the scapula
Trapezius nerve
CN 11
suprahyoid muscles
stylohyoid, digastric, mylohyoid, geniohyoid
stylohyoid nerve
facial nerve
digastric nerves
mylohyoid, facial
mylohyoid nerve
mylohyoid
geniohyoid nerve
C1
infrahyoid muscles
omohyoid, sternohyoid, sternothyroid, thyrohyoid
infrahyoid nerve
ansa cervicalis except thyrohyoid (C1)
Ansa cervicalis is formed by _ present in _ and related to _
C1-3, carotid triangle, IJV and ICA
muscles that elevate hyoid
stylohyoid, digastric, geniohyoid
muscles that depress the mandible
digastric, geniohyoid
muscles that depress the hyoid
omohyoid, sternohyoid, thyrohyoid
sternothyroid acts to
depress the thyroid cartilage and larnx
in addition to depressing the hyoid the thyrohyoid acts to
elevate the thyroid cartilage and larynx
contents of digastric (submandibular) triangle
submandibular gland, facial artery and vein, stylohyoid muscle, hypoglossal nerve, lymph nodes
contents of carotid triangle
CCA, ICA, ECA, IJV, vagus nerve, hypoglossal nerve
contents of muscular triangle
infrahyoid muscles, thyroid glands, parathyroid glands
contents of the posterior triangle
EJV, subclavian vein, SCA, brachial plexus, cervical plexus, accessory nerve
Anterior scalene acts to
flex neck, elevate first rib
anterior scalene nerve
anterior rami of C4-6
middle scalene acts to
flex neck, elevate first rib
middle scalene nerve
anterior rami of C2-6
posterior scalene acts to
flex neck laterally, elevate second rib
posterior scalene nerve
anterior rami C7-8
CCA divides at
C3-4
branches of ECA
superior thyroid, lingual, facial, occipital, posterior auricular, ascending pharyngeal, superficial temporal, maxillary
IJV is a continuation of
the sigmoid sinus
IJV begins at
jugular foramen
tributaries of IJV
inferior petrosal sinus, pharyngeal, occipital, facial, lingual, superior thyroid, middle thyroid
subclavian artery (SCA) parts
vertebral, thyrocervical, internal thoracic, costocervical
branches of thyrocervial
inferior thyroid, transverse cervical, suprascapular
only tributary of subclavian vein
external jugular
brachiocephalic vein tributaries
vertebra, inferior thyroid, internal thoracic, left superior intercostal, thymic
which brachiocephalic vein is longer
left
What passes through the scalene triangle
SCA and brachial plexus
superficial cervical lymph nodes
occipital, mastoid, parotid, submandibular, submental
gloosopharyngeal nerve innervates
stylopharyngeus, posterior 1/3 of tongue, oropharynx, middle ear, parasympathetic to parotid gland
vagus nerve innervates
muscles of soft palate, pharynx, larynx, external acoustic meatus, laryngopharynx, taste of epiglottis, parasympathetic to heart, trachea, bronchi, GIT
branches of vagus nerve
pharyngeal, superior laryngeal, inferior (recurrent) laryngeal, cartoid sinus/body, cardia, thoracic, abdominal
hypoglossal nerve innervates
most muscles of the tongue
cervical plexus cutaneous branches
lesser occipital, great auricular, transverse cervical, supraclavicular,
cervical plexus from
C1-4
cervical plexus muscular branches
phrenic, prevertebral, lateral vertebral, ansa cervicalis
cervical part of sympathetic trunk
three cervical ganglia located behind the cartoid sheath on the transverse process of C5
Horner’s syndrome
partial ptosis, miosis, anhidrosis, increased temp and redness
Thyroid gland is enclosed by
pretracheal fascia
what connects the lobes of the thyroid
isthmus
which nerve can get damaged during thyroid surgery
recurrent laryngeal neve
layers of deep cervical fascia
investing, prevertebral, pretrachel, carotid sheath
investing layer contains
trapezius, SCM, infrahyoid, submandibular gland, parotid gland
prevertebral layer contains
prevertebral muscles, 3 scalene muscles, deep muscles of the back
Pretracheal layer
thyroid, trachea, pharynx, esophagus
carotid sheath contains
CCA, ICA, IJV, vagus nerve, deep cervical lymph nodes